- Enrollment id
- O20230125000081
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1053840785
- Multiple npi flag
- N
- Ccn
- 757714
- Associate id
- 9739550039
- Organization name
- AMICI CARE MANAGEMENT LLC
- Doing business as name
- AMICI CARE
- Incorporation date
- 2016-09-02
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1545 N VERDUGO RD
- Address line 2
- STE 108
- City
- GLENDALE
- State
- CA
- Zip code
- 912082858